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Robotic-Assisted Gynaecological Surgery

Advanced minimally invasive surgery offering precision, faster recovery, and improved outcomes for complex gynaecological conditions.

What Is Robotic Surgery?

Robotic-assisted surgery is an advanced form of minimally invasive (keyhole) surgery performed using the Da Vinci surgical system. The surgeon controls robotic instruments from a console, allowing:

  • Enhanced 3D visualisation
  • Greater precision and control
  • Improved access to complex areas of the pelvis

It is particularly beneficial in managing complex gynaecological conditions, including advanced endometriosis.

Benefits of Robotic Surgery

Compared to traditional open or standard laparoscopic surgery, robotic surgery offers:

  • Smaller incisions
  • Reduced post-operative pain
  • Shorter hospital stay
  • Faster recovery
  • Lower risk of complications in complex cases
  • Greater precision in delicate anatomical areas

This makes it especially suitable for patients requiring complex or repeat surgery.

Robotic vs Laparoscopic vs Open Surgery

Choosing the right surgical approach depends on the nature and complexity of the condition. Prof Mahmood is trained and certified in both robotic and laparoscopic techniques, and will recommend the most appropriate option for each patient.

  • Robotic surgery: enhanced 3D visualisation, wristed instruments with 7 degrees of freedom, greatest precision in complex anatomy. Ideal for deep infiltrating endometriosis, complex hysterectomy, and repeat surgery.
  • Laparoscopic surgery: well-established minimally invasive technique, shorter setup time, suitable for straightforward cases and diagnostic procedures.
  • Open surgery: reserved for very complex or emergency situations where minimally invasive access is not feasible. Longer recovery and larger incision.

Prof Mahmood's Robotic Surgery Outcomes

Prof Uzma Mahmood is a BIARGS (British & Irish Association of Robotic Gynaecological Surgery) and SERGS (Society of European Robotic Gynaecological Surgery) certified robotic surgeon, and holds a Level 2 Certification in Neuropelveology. She is the Lead Robotic Gynaecology Surgeon in Limerick.

  • Over 300 robotic-assisted gynaecological procedures performed
  • Less than 5% complication rate
  • Less than 5% conversion to open surgery rate
  • BIARGS and SERGS dual certified
  • Level 2 Certification in Neuropelveology
  • Lead Robotic Gynaecology Surgeon, Limerick
  • Lead Endometriosis Surgeon, University Hospital Limerick

Prof Mahmood is actively involved in robotic surgery programmes, teaching and proctoring, and continuous audit and outcome evaluation.

Procedures Performed

Robotic-assisted surgery can be used for a range of conditions, including:

  • Endometriosis excision (including complex disease)
  • Hysterectomy
  • Myomectomy (fibroid removal)
  • Ovarian cyst surgery
  • Adhesiolysis (scar tissue removal)

Each procedure is tailored to the patient's condition and overall treatment plan.

Robotic Surgery in Endometriosis

Robotic surgery is particularly valuable in the management of deep infiltrating endometriosis, where disease may involve:

  • Bowel
  • Bladder
  • Ureters
  • Pelvic sidewall

The enhanced precision allows:

  • Careful dissection in complex anatomy
  • Preservation of surrounding structures
  • Improved surgical outcomes

In selected cases, a multidisciplinary approach may be required.

What to Expect

Recovery times vary depending on the complexity of the procedure.

Before Surgery

  • Detailed consultation and assessment
  • Imaging where required
  • Discussion of risks, benefits, and alternatives

During Surgery

  • Minimally invasive procedure under general anaesthetic
  • Performed using robotic technology for enhanced precision

After Surgery

  • Early mobilisation
  • Short hospital stay
  • Gradual return to normal activities

Is Robotic Surgery Right for You?

Not all patients require robotic surgery. Suitability depends on:

  • Nature and severity of the condition
  • Previous surgeries
  • Overall health
  • Treatment goals

Prof Mahmood will provide a clear and honest recommendation based on your individual case.

Referrals and Appointments

Referrals are welcomed from:

  • GPs
  • Consultants
  • Self-referrals

Frequently Asked Questions

Robotic surgery uses the Da Vinci surgical system, which provides the surgeon with enhanced 3D visualisation, greater range of movement, and improved precision compared to standard laparoscopic instruments. The surgeon controls the robotic arms from a console, allowing more accurate dissection in complex anatomical areas.

Yes. Robotic-assisted surgery is a well-established technique used worldwide for gynaecological procedures. It is associated with smaller incisions, reduced blood loss, and a lower risk of complications in complex cases. As with any surgery, risks are discussed in detail during your consultation.

Recovery is typically faster than with traditional open surgery. Most patients are mobilised on the same day and discharged within one to two days. Return to normal activities usually occurs within two to four weeks, depending on the complexity of the procedure.

Robotic surgery uses small keyhole incisions, typically 8 to 12 millimetres in length. These heal well and result in minimal scarring compared to open surgery. The number of incisions depends on the specific procedure being performed.

Robotic surgery is particularly beneficial for complex procedures, such as advanced endometriosis excision, hysterectomy, and myomectomy. However, not all conditions require a robotic approach. Prof Mahmood will assess your individual case and recommend the most appropriate technique.

Yes. Prof Mahmood is the primary surgeon for all robotic-assisted procedures. She controls the robotic system from the console throughout the operation, supported by a trained surgical team in the operating theatre.

Prof Mahmood has performed over 300 robotic-assisted gynaecological procedures with a complication rate of less than 5% and a conversion to open surgery rate of less than 5%. She is BIARGS and SERGS dual certified.

Most private health insurers in Ireland, including VHI, Laya Healthcare, and Irish Life Health, cover robotic-assisted gynaecological surgery. Coverage depends on your specific plan level. The practice team at Bon Secours Hospital Limerick can assist with insurance queries.

The Da Vinci surgical system is the most widely used robotic surgical platform worldwide. It provides the surgeon with a magnified 3D high-definition view and wristed instruments that move with greater dexterity than the human hand. Prof Mahmood uses this system for all robotic procedures at Bon Secours Hospital Limerick.

Related Procedures

Discuss Your Options

Prof Mahmood will provide a clear and honest recommendation based on your individual case. Book a consultation to discuss your treatment options.

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